CT abdomen and pelvis with contrast at MemorialCare Miller Children's & Women's Hospital. CPT 74177.
What MemorialCare Miller Children's & Women's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$10,055cash price (self-pay)
$10,055list price
$292–$3,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Medicare Managed Care Plan | $292 |
| Monarch Health Plan | Medicare Managed Care Plan | $426 |
| Caremore | Senior Medicare Managed Care Plan | $449 |
| Unitedhealthcare | All Payer Other Commercial Plan | $458 |
| Unitedhealthcare | Non-Preferred Hmo | $458 |
| Unitedhealthcare | Preferred Hmo | $458 |
| Blue Cross | Anthem Vivity City Other Commercial Plan | $470 |
| Blue Cross | Anthem Vivity Non-City Other Commercial Plan | $529 |
| Global Care Medical Group | Ancillary Hmo | $538 |
| Healthcare Partners | Senior/Dual Eligible Medicare Managed Care Plan | $561 |
| Blue Cross | Anthem Hmo Exchange | $690 |
| Molina | Exchange | $727 |
| Centivo | Ppo | $1,010 |
| Cigna | Select Hmo | $1,030 |
| Blue Cross | Anthem Non-Mcs Other Commercial Plan | $1,062 |
| Monarch Health Plan | Other Commercial Plan | $1,075 |
| Healthcare Partners | All Commercial Plans | $1,164 |
| Cigna | Value Hmo | $1,171 |
| Blue Cross | Anthem Mcs Other Commercial Plan | $1,274 |
| Cigna | All Commercial Plans | $1,524 |
| Blue Shield | Trio Other Commercial Plan | $2,421 |
| Blue Shield | Hmo/Pos | $2,768 |
| Blue Shield | Epn/Covered Ca Other Commercial Plan | $2,843 |
| Blue Shield | Tandem Other Commercial Plan | $2,970 |
| Blue Shield | Ppo/Epo | $3,577 |
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All common services at MemorialCare Miller Children's & Women's Hospital